| NPI | 1700334281 |
|---|---|
| Former Legal Business Name | JULIE A. LEGOULLON |
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE LEGOULLON Owner 814-657-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-04-26 |